Roxo-Gonçalves Michelle, Stüermer Vanessa Müller, Dos Santos Laura Ferraz, Kinalski Daniela Dal Forno, de Oliveira Elise Botteselle, Roman Rudi, Carrard Vinicius Coelho
Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
TelessaudeRS-UFRGS, Federal Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Telemed Rep. 2021 Jan 8;2(1):1-5. doi: 10.1089/tmr.2020.0007. eCollection 2021.
The Brazilian National Health System (NHS) has incorporated telehealth to improve the quality of care in recent decades. Among the actions taken, teleconsultations have been offered to support diagnosis and decision-making for health professionals.
This cross-sectional study aimed to summarize the preliminary experience of a telephone-first consultation for oral health issues available for dentists and physicians from primary health care (PHC).
The study sample was 385 teleconsultations with oral health questions requested from all Brazil sent from May 2018 to July 2019, majority by dentists 83.2% ( = 332). Oral medicine was the main reason for teleconsultation (50.9%). Resolution in PHC was considered possible in 57.1% of cases ( = 220).
It was concluded that a telephone-first consultation may be useful to improve the resolvability and the quality of care in the PHC on oral health issues. The teledentistry allows the resolution of oral issues in PHC, avoiding the displacement of patients to more distant specialized centers. Teledentistry could be more useful in the actual coronavirus disease (Covid-19) pandemic.
近几十年来，巴西国家卫生系统（NHS）已将远程医疗纳入其中，以提高医疗质量。在采取的行动中，提供了远程会诊以支持卫生专业人员的诊断和决策。
这项横断面研究旨在总结针对初级卫生保健（PHC）中的牙医和医生提供的关于口腔健康问题的电话优先会诊的初步经验。
研究样本为2018年5月至2019年7月期间来自巴西各地的385次有关口腔健康问题的远程会诊，大多数由牙医提出，占83.2%（n = 332）。口腔医学是远程会诊的主要原因（50.9%）。57.1%（n = 220）的病例被认为有可能在初级卫生保健中得到解决。
得出的结论是，电话优先会诊可能有助于提高初级卫生保健中口腔健康问题的可解决性和医疗质量。远程牙科使初级卫生保健中的口腔问题得以解决，避免了患者前往更远的专科中心。在当前的冠状病毒病（Covid-19）大流行中，远程牙科可能会更有用。
